| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $33.11 | $36.31 | |
Aetna
| Professional | $22.91 | $30.90 | $38.90 | |
Cigna
| Professional | $30.90 | $30.90 | $38.90 | |
Kaiser Permanente
| Professional | $23.99 | $32.36 | $43.65 | |
United
| Facility | $24.55 | $33.88 | $53.70 | |
United
| Professional | $25.12 | $35.48 | $60.26 | |
Wellpoint
| Professional | $38.90 | $52.48 | $58.88 |